REQUEST - Healthy Lifestyle Kick-Off
Please fill out this short questionnaire to request a FREE "Healthy Lifestyle Kick-Off Consultation". If I feel that my Consultation will be beneficial to you, I'll send you a link via email so that you can schedule an appointment.

!!Make sure to check your inbox in the next 48 hours!!

I look forward to talking with you soon,

~ Stella Loichot
Certified Health & Lifestyle Coach, Specializing in PreDiabetes Reversal and Weight Management
Allons-y Coaching, LLC -

PS: Except as required by law, all information you share with me will be held confidential unless you state otherwise in writing. For medical advice, diagnosis, and treatment, I encourage you to contact your physician. I am not providing such services.

Email address *
First Name *
Your answer
How did you hear about me?
Your answer
In 2-3 sentences describe the problem or struggle you are experiencing. Please be as specific as possible.
Your answer
In 2-3 sentences, please describe your ideal outcome/goal in the next 3 months.
Your answer
In 2-3 sentences, please describe your ideal outcome/goal in the next 6 months.
Your answer
What programs or systems have you tried in the past that didn’t work in achieving the results you desire?
Your answer
In 2-3 sentences tell me why you believe you haven’t been successful in reaching your goal in the past.
Your answer
What could I provide that would make your life easier?
Your answer
When are you looking to take action in reaching your goal?
Your answer
On a scale from 1 to 10, how committed are you to work toward your goals?
I think I want to try...
It's almost a question of life and death!
Do you want FREE support?
I regularly create recipes, checklists, I write articles, lists of tips, videos, and that kind of stuff to help "my people" in their health journey. If you want to receive those resources, join my insider list. I do it all myself, so you won't get spammed. You can expect an email from me about once a week!
Congrats, you just took a big step forward!
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